| Ajay T Patel Md Inc | |
|
450 2nd St Saint Albans WV 25177-2857 | |
| (304) 727-0016 | |
| (304) 727-2929 |
| Full Name | Ajay T Patel Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 2nd St, Saint Albans, West Virginia |
| Authorized Official Name and Position | Ajay Patel (MEDICAL DOCTOR) |
| Authorized Official Contact | 3047270016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajay T Patel Md Inc 450 2nd St Saint Albans WV 25177-2857 Ph: (304) 727-0016 | Ajay T Patel Md Inc 450 2nd St Saint Albans WV 25177-2857 Ph: (304) 727-0016 |
| NPI Number | 1710029715 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 9931163466 |
|---|---|
| Medicare Enrollment ID | O20041115001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710029715 | NPI | - | NPPES |
| 1804439000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20391 (West Virginia) | Primary |
| Provider Name | Ajay T Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023078912 PECOS PAC ID: 8123082666 Enrollment ID: I20041116000248 |
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